FARI MAME PENDA FALL MD
NPI 1639798788
Student in an Organized Health Care Education/Training Program in New York, NY
About Fari Mame Penda Fall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARI MAME PENDA FALL MD (NPI 1639798788) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fari Mame Penda Fall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fari Fall's NPI number?
The NPI number for Fari Fall is 1639798788. It was assigned to this individual provider in the NPPES registry on April 9, 2020.
Where is Fari Fall located?
Fari Fall practices at 550 1st Ave, New York, NY 10016. The listed phone number is (347) 581-5440.
What is Fari Fall's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Fari Fall enrolled in Medicare?
Yes. Fari Fall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Fari Fall was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fari Mame Penda Fall, MD · NPI 1639798788
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 9, 2020.
## Identity
- **NPI:** 1639798788 (Entity type: Individual)
- **Enumerated:** April 9, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (347) 581-5440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639798788) · Data from the CMS NPPES public registry.